2024 PN NCLEX Questions Nursing Practice Question
When a couple experiencing infertility presents for a fertility workup, which of the following procedures should the nurse prepare the couple to have first?
Correct Answer: B
Rationale: A semen analysis is the first step in a fertility workup, as male factors contribute to infertility in approximately 40-50% of cases. This test evaluates sperm quality and quantity, providing essential information for further assessments.
Hysterosalpingography (A) is useful for checking the patency of the fallopian tubes but is typically performed after initial male evaluation. An endometrial biopsy (C) assesses the uterine lining but is not a first-line test. Transvaginal ultrasound (D) provides imaging but does not directly assess fertility factors. Prioritizing semen analysis ensures a comprehensive approach to infertility evaluation.